LAKEN CHISM, RBT

Community/Behavioral Health

Active Individual
NPI: 1720696719

Practice Address

8500 WALNUT GROVE RD
Cordova, TN 38018

Phone: (662) 610-4087

Specialties

Specialty Code Primary License
Community/Behavioral Health 251S00000X Yes RBT-18-72069 (TN)

Frequently Asked Questions

NPI 1720696719 is the National Provider Identifier for LAKEN CHISM, RBT, a Community/Behavioral Health provider located in Cordova, TN. This NPI was enumerated on July 16, 2020.
LAKEN CHISM, RBT practices at 8500 WALNUT GROVE RD, Cordova, TN 38018.

Quick Facts

NPI
1720696719
Type
Individual
Enumerated
Jul 16, 2020
Last Updated
Jul 16, 2020

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